ABDI Y TINWALLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

ABDI

Middle

Last Name

TINWALLA

Business Name

ABDI Y TINWALLA

Original Issue Date

10/17/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

RUSHVILLE

State

Zip

62681

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023